Wurzbach Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 8300 Wurzbach Rd., San Antonio, TX 78229
- CCN
- 455824
- Ownership type
- For-profit, corporation
- Certified beds
- 140
- Chain
- Caraday Healthcare
- Residents per day
- 84
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Wurzbach Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 13 Jun 2025. The latest survey cycle has 21 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $34,945 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bexar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 62 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Jun 2025 | 21 | 8 |
| Cycle 2 | 26 Apr 2024 | 20 | 8 |
| Cycle 3 | No date | 17 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 24 Jul 2026 |
| 2 Jul 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 24 Jul 2026 |
| 13 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0946 | Provide training in compliance and ethics. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 14 Jun 2025 |
| 13 Jun 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 14 Jun 2025 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 May 2025 |
| 9 Mar 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 17 Mar 2025 |
| 9 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Mar 2025 |
| 9 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Sep 2024 |
| 9 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 17 Mar 2025 |
| 6 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 10 Dec 2024 |
| 26 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Oct 2024 |
| 26 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 18 Oct 2024 |
| 12 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Sep 2024 |
| 26 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 May 2024 |
| 26 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 31 May 2024 |
| 26 Apr 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 31 May 2024 |
| 26 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 May 2024 |
Survey cycle 3: 17 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 17 Apr 2024 |
| 16 Apr 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 17 Apr 2024 |
| 14 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Mar 2024 |
| 1 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Dec 2023 |
| 1 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 26 Dec 2023 |
| 1 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 1 Dec 2023 |
| 1 Dec 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 28 May 2023 |
| 26 Oct 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 25 Oct 2023 |
| 3 Mar 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Apr 2023 |
| 3 Mar 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 22 Apr 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 9 Mar 2025 | Fine | $10,361 | |
| 1 Dec 2023 | Fine | $9,315 | |
| 26 Oct 2023 | Fine | $15,269 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.13 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.51 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | |
| Nurse aides | 1.76 | 2.00 | |
| All nurse staff, weekends | 2.66 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 62.3%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.2% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Caraday Wurzbach LLC
- Chain
- Caraday Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Caraday Healthcare, LLC | 5% or greater direct ownership interest | 100% | 1 Jan 2020 |
| Cara Capital LLC | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| Caraday Holdings LLC | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| Daybach Investments, LP | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| E&R Cunningham Investments LP | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| Tala Investments, LLC | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| Ysmlc Holdings, LLC | 5% or greater indirect ownership interest | 1 Jan 2020 | |
| Granite Wurzbach, LLC | 5% or greater mortgage interest | 1 Jan 2020 | |
| Granite Wurzbach, LLC | Adp of the snf | 1 Jan 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bexar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Atrium Rehabilitation Center | San Antonio | 4 of 5 | 6 | $9,600 | 9 Jul 2026 | |
| The Heights at Medical Center | San Antonio | 1 of 5 | 9 | $22,052 | 15 Aug 2025 | |
| Remington Transitional Care of San Antonio | San Antonio | 4 of 5 | 11 | $0 | 6 Jun 2025 | |
| Patriot Heights Health Care Center | San Antonio | 2 of 5 | 5 | $28,033 | 5 Sep 2025 | |
| Sorrento | San Antonio | 2 of 5 | 13 | $0 | 22 Aug 2025 | |
| Oak Park Nursing and Rehabilitation Center | San Antonio | 2 of 5 | 20 | $9,280 | 13 Mar 2026 | |
| Avir at San Knoll | San Antonio | 1 of 5 | 35 | $27,710 | 24 Jul 2025 | |
| Mesa Vista Inn Health Center | San Antonio | 1 of 5 | 24 | $8,160 | 24 Apr 2026 | |
| The Heights on Huebner | San Antonio | 4 of 5 | 9 | $0 | 14 Jan 2026 | |
| Ignite Medical Resort San Antonio, LLC | San Antonio | 3 of 5 | 14 | $0 | 8 Dec 2025 | |
| The Lev at San Antonio | San Antonio | 1 of 5 | 16 | $174,496 | 11 Sep 2025 | |
| Huebner Creek Health & Rehabilitation Center | San Antonio | 1 of 5 | 27 | $14,327 | 11 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Wurzbach Nursing and Rehabilitation (CCN 455824). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/wurzbach-nursing-and-rehabilitation-san-antonio-tx-455824/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Wurzbach Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 2 Jul 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 26 Apr 2024.
- Who operates Wurzbach Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Caraday Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Wurzbach Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.